Centre for eLearning and Information
Technology Research
2nd Floor, Eastern Wing, Lotti House, Cairo Road
Lusaka 10101 Zambia
info@[Link]
[Link]
+260 211 237995/0976034121
Application for University Application fee is K150.00
and it is non Refundable
Please fill out the application form carefully
Personal Information
Full Name
First Name Last Name
Email Phone (WhatsApp)
(000 – 000 – 000000)
Example: you@[Link]
Address
Street Address
Street Address
City/District/Town Country
Education Background
List your previous schools, beginning with the most recent
Past School/College/University
School Name Level
Grade 12/Certificate/Bachelor
List of Subjects Learnt
Example for grade 12: Mathematics, English, Geography,
Example for Tertiary Level: Bachelor of Arts in Education; Certificate in ICT;
Study Detail
Tick the course you prefer taking
Master in Data Mgt and Evaluation Dip. Info. Security & Systems Dip. Fashion Technology & Ent.
Master of Mgt & Financial Economics Dip. Info Communication & Tech Dip. Fashion Design & Ent.
MSc Banking and Ecommerce Dip. Information Technology Mgt Dip. Fashion, Furniture & Jewelry
MSc in Counseling Practice Dip. Cyber Security & Data Mgt Dip. Project Mgt & Evaluation
MSc in Program Planning Dip. Library Info and Technology Cert. Digital Marketing
MA in Education and Technology Dip. Data Science & Stata Specialt Cert. Graphic Designing
MA in Pedagogy and Leadership Dip. Social Science & Practice Cert. Web Development
MSc in Information Technology Dip. Business Mgt & Enterprise Cert. Cybersecurity
MA in English & Literature Teaching Dip. Financial Mgt and Support Cert. Video Editing * Production
BSc in IT Project Management Dip. Monitoring & Evaluation Mgt. Cert. Bookkeeping
BSc in Computer Studies Major Dip. Film Technology Cert. Computer Application
Bachelor of Mgt and Finance Dip. International Studies &Travel Cert. Modeling
BA in Business Studies Education Dip. Fiduciary Mgt. & Procurement Cert. Creative Writing
BA (Drama, Theatre & Performance Dip. Fine Art & Business Cert. Data Analytics
BA in English Language Teaching Dip. Computer Studies for Teaching Cert. Digital Photography
BSc in Computer Studies Education Dip. Creative Arts & Design Cert. Mobile Application
B.E in Primary Teaching Dip. Christian Ministry & Technology Cert. Content Marketing
Dip. Computer Network Technician Dip. Communication Art & Design Cert. Social Media Mgt
Dip. Web Design & Monetization Dip. Art, Design & Media Cert. UI UX Designing
Dip. Graphic Design & Photographic Dip. Interior Designing & Business Cert. Search Engine Optim
Declaration
I declare that I have read and understood the content of this Application Form and that the
information provided is true and correct.
Student Signature Date
